Overseas Au Pair Application Form

Demi Pair Application Form

Interest
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Contact type
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Sub Contact type *
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Step 1
Which State or City would you like to be placed? *
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i.e Melbourne, VIC or Sydney, NSW
Which University or Education Provider are you enrolled with? *
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i.e ILSC, Greenwich College
Which passport do you hold? *
N/A

Please note that you must hold a passport that is eligible for a Student Visa. Simply state your citizenship and we will do the checks for you.
When will you start your course? *
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dd-MMM-yyyy
Lengths of stay *
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Please note most families prefer at least 6-months stay.
Step 2
Name
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Required First Required Last
Gender *
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Female
Male
Other
Age (at time of application) *
N/A

Please note: Our Demi Pair Program is for young individuals aged 18-30 years old.
WhatsApp
N/A
Facebook
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Instagram
N/A
Mobile Phone *
N/A
Email *
N/A
Section 3

Family, school and work.
Father’s name and occupation *
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Mother’s name and occupation *
N/A
If you have any brothers or sisters gives their names and ages
N/A
Give a brief summary of all schools you have graduated, dates, certificates and degrees. *
N/A
Present occupation *
N/A
Works experiences *
N/A
Future plans *
N/A

What do you plan to do after your Demi Pair experience?
Step 4

Your personal details and skills.
Have you had any health problems in the past? *
N/A
Any allergies? *
N/A

i.e. allergic to cats but ok with dogs
Any intollerances *
N/A

i.e. intolerant to glluten
Do you have a special diet? *
N/A

Please state specifics. I.e. Vegan, vegetarian, gluten free
If you are vegetarian or vegan would you prepare meat meals?
N/A
Do you like pets? *
N/A

Yes
No
Do you smoke? *
N/A

Yes
No
Could you refrain from smoking in the family home? *
N/A

Yes
No
Do you have a valid driving licence? *
N/A

Yes
No
Would you drive for the family? *
N/A

Yes
No
Step 5

Locations and languages
Which location do you prefer? *
N/A
Would you like to attend a language course? *
N/A

Yes
No

Please note that in Australia you will have to cover your own language course expenses.
Have you ever lived away from home? *
N/A

Yes
No

Knowledge of languages

	None	Basic	Moderate	Good	Fluent
English *
French *
German *
Spanish *
Italian *
Other *

What is your native language? *
N/A
Any other talent/skills which may be useful? (i.e. first aid, play piano, can swim) *
N/A

Please list all things that could be of benefit. Can swim, play guitar, play piano, can teach maths grades prep to grade 5 etc.
Describe all your childcare experience in as much detail as possible. *
N/A

List: ages of children, responsibility etc. Example: I babysat my neighbour's children for the last two years, once a week for four hours. They are now 5 and 7. Responsibilities: Play, snacks, bath, bed.
Would you be willing to work additional hours for more pay? *
N/A

Yes
No
Have you ever had any problems with the law? *
N/A

Yes
No
Do you swim? *
N/A

Yes
No
Can you play any instrument? *
N/A

Yes
No
Which one?
N/A
Why do you want to become a Demi Pair? *
N/A
Preferences about the age of children *
N/A
Your experience in domestic work *
N/A
Are you willing to help your host family *
N/A
How many children do you wish to care for? *
N/A

The more children you can handle, the more choices you will have among host families. This will likely also mean higher pocket money.
How Many hours are you willing to work per day?
N/A

Please comment below for further details. I.e. I would like to not have a shift longer than six hours.
How many hours are you willing to work per week? *
N/A

Please comment below for further details. I.e. I don't want to work more than 20 hours per week.
Are you willing to work with a single mother/father? *
N/A

Yes
No
Have you been an Demi Pair before? *
N/A

Yes
No
Any other information you would like us to know?
N/A
Step 7

References
Please give the name, address and tel no/email of two referents:
Reference 1
Name
N/A

Required First Required Last
Email *
N/A
Phone *
N/A
Reference 2:
Name
N/A

Required First Required Last
Email *
N/A
Phone *
N/A
In case of an accident or emergency give the name and address of next of kin.
Name
N/A

Required First Required Last
Address
N/A

Street Address
Address Line 2 City State/Region/Province Required
Postal / Zip Code

-Select-
Country
Email *
N/A
Phone *
N/A
How many years of relevant experience do you have?
N/A

Examples Formal example: cert III in Early Childcare and have worked for two years in a childcare centre. Informal example: I babysat my neighbours' kids for the last 2 years and am the oldest of five children and look after my siblings.
Upload an image of you
N/A
Upload file Capture image using webcam
Terms and Conditions *
N/A

While every care is taken in introducing families, the agency is not responsible for any problems arising from information that is provided as incorrect and I accept the conditions of this agency. I hereby declare that the information is given on this form and the enclosed documents are true in every respect.

I accept the Terms and Conditions.
Date
N/A

dd-MMM-yyyy
How did you hear about us? Who referred you to us? *
N/A

If a friend or an Agency has referred you to us please let us know their name, so we can say Thank You.

Demi Pair Application Form

Step 1

Step 2

Section 3

Step 4

Step 5

Step 7

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